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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: kV ( -t-T.)N Kt-A W 6 PID: <br /> DESCRIPTION OF WORK: O UT(JOOIZ w t 2L(-O0 t -r-U6 <br /> -------------------------- ------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: IU-2-1-13 <br /> BUILDING REVIEW BY:— DATE APPROVED: <br /> -------------------- - <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes L,---' No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------ ------------------------------------------------------------------ <br /> ZONING CHECK LIST - Zoning District: <br /> Fire Department: Post Office: School District: <br /> Depth: <br /> Lot Area: Width: De P <br /> Survey Submitted: Yes No Date ourvey: <br /> Proposed Setbacks: <br /> Front (Lake) : Right Side: <br /> Rear (Street) : Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: D'ef. Hgt. Peak Hgt. <br /> Avg. Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 ' <br /> 75-2501 <br /> Yl1 r 7TD'3 <br /> 250-5001s��$' <br /> 500-1000 ' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# ��G 5� Resolution #: �J q r Resolution Date: <br /> REMARKS (in house) : <br />